Case 1:23-cv-00278-MN Document 42-1 Filed 12/21/23 Page 1 of 3 PageID #: 968
`Case 1:23-cv-00278-MN Document 42-1 Filed 12/21/23 Page 1 of 3 PagelD #: 968
`
`
`
`
`
`
`
`
`EXHIBIT A
`EXHIBIT A
`
`
`
`EXHIBIT A
`
`

`

`Case 1:23-cv-00278-MN Document 42-1 Filed 12/21/23 Page 2 of 3 PageID #: 969
`
`Doc Code: STAT.DISCLMR
`Document Description: Statutory Disclaimers per Manual of Patent Examining Procedure(MPEP) 1490
`
`PTO/SB/43 (11-23)
`Approved for use through 05/31/2024. OMB 0651-0031
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number.
`
`
`
`DISCLAIMER IN A PATENT UNDER 37 CFR 1.321(a)
`
`
`
` Name of Patentee Docket Number (optional)
`
`PayRange Inc.
`
`104402-5065-US
`
`
`
`
`
`Patent Numoer 4
`
`1 481 772 B2
`
`Date Patent Issued October 25, 2022
`
`
`
`Title of Invention
`
`METHOD AND SYSTEM FOR PRESENTING REPRESENTATIONS OF PAYMENT ACCEPTING UNIT EVENTS
`
`
`
`Patentee hereby disclaims:
`
`the following complete claim(s) in the above-identified patent: 1-6, 8-10 and 12-20
`
`the terminal part of the term of the above-identified patent beginning on the date:
`
`the entire term of the above-identified patent.
`
`[|
`
`[|
`
`The disclaimer is binding on the patentee and its successors or assigns.
`
`The extent of patentee’s ownership interest in the above-identified patent is; 100%
`
`The fee for this disclaimer is set forth in 37 CFR 1.20(d) and is being paid in the following manner:
`
`[|
`
`payment by the USPTO patent electronic filing system.
`
`the Director is hereby authorized to charge any fees which may be required, or credit any
`overpayment, to Deposit Account No. 95-0310
`
`[|
`
`payment by credit card. Form PTO-2038 is attached.
`
`口
`
`a check in the amount of the fee is enclosed.
`
`WARNING: Information on this form may become public. Credit card information should not be included on this
`form. Provide credit card information and authorization on form PTO-2038.
`
`The undersigned is:
`
`patentee. If patentee is a juristic entity, the undersigned is authorized to act on behalf of the juristic
`
`entity.
`
`attorney or agent of record.
`
`
`
`Signature
`
`/Douglas J. Crisman/
`
`。
`
`Date
`
`November 22, 2023
`
`
`
` Note: See 37 CFR 1.4(d) for signature requirements and certifications.
`
`
`
`Name (printed/typed) Douglas J. Crisman Practitioner registration number 39,951
`
`
`
`
`
`A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to
`comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995, unless the information collection has
`a currently valid OMB Control Number. The OMB Control Number for this information collection is 0651-0031. Public burden for this form is
`estimated to average 12 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and
`maintaining the data needed, and completing and reviewing the information collection. Send comments regarding this burden estimate or any
`other aspect of this information collection, including suggestions for reducing this burden to the Chief Administrative Officer, United States Patent
`and Trademark Office, P.O. Box 1450, Alexandria, VA 22313-1450 or email InformationCollection@uspto.gov. DO NOT SEND FEES OR COMPLETED
`FORMS TO THIS ADDRESS. If filing the completed form by mail, send to: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
`
`If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2.
`
`

`

`Case 1:23-cv-00278-MN Document 42-1 Filed 12/21/23 Page 3 of 3 PageID #: 970
`
`Privacy Act Statement
`
`The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with
`your submission of the attached form related to a patent application or patent. The United States Patent
`and Trademark Office (USPTO) collects the information in this record under authority of 35 U.S.C. 2. The
`USPTO’s system of records is used to manage all applicant and owner information including name,
`citizenship, residence, post office address, and other information with respect to inventors and their
`legal representatives pertaining to the applicant's/owner’s activities in connection with the invention for
`which a patent is sought or has been granted. The applicable Privacy Act System of Records Notice for
`the information collected in this form is COMMERCE/PAT-TM-7 Patent Application Files, available in the
`
`Federal Register at 78 FR 19243 (March 29, 2013). hitos://www.govinio.gov/cantent/oke /FR-2013-03-
`2O/pdt/2015-07344 naf
`
`
`
`
`Routine uses of the information in this record may include disclosure to:
`
`1) law enforcement, in the event that the system of records indicates a violation or potential violation of
`
`law;
`
`2) a federal, state, local, or international agency, in response to its request;
`
`3) a contractor of the USPTO having need for the information in order to perform a contract;
`
`4) the Department of Justice for determination of whether the Freedom of Information Act (FOIA)
`
`requires disclosure of the record;
`
`5)
`
`a Member of Congress submitting a request involving an individual to whom the record pertains,
`
`when the individual has requested the Member’s assistance with respect to the subject matter of the
`
`record;
`
`6) a court, magistrate, or administrative tribunal, in the course of presenting evidence, including
`
`disclosures to opposing counsel in the course of settlement negotiations;
`
`7) the Administrator, General Services Administration (GSA), or their designee, during an inspection of
`
`records conducted by GSA under authority of 44 U.S.C. 2904 and 2906, in accordance with the GSA
`
`regulations and any other relevant (i.e., GSA or Commerce) directive, where such disclosure shall not be
`
`used to make determinations about individuals;
`
`8) another federal agency for purposes of National Security review (35 U.S.C. 181) and for review
`
`pursuant to the Atomic Energy Act (42 U.S.C. 218(c));
`
`9) the Office of Personnel Management (OPM) for personnel research purposes; and
`
`10) the Office of Management and Budget (OMB) for legislative coordination and clearance.
`
`If you do not furnish the information requested on this form, the USPTO may not be able to process
`
`and/or examine your submission, which may result in termination of proceedings, abandonment of the
`
`application, and/or expiration of the patent.
`
`